DOCSLIB.ORG

Reducing Heavy Drinking in College Males with the Decisional Balance: Analyzing an Element of Motivational Interviewing

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Reducing Heavy Drinking in College Males with the Decisional Balance: Analyzing an Element of Motivational Interviewing Heads UP Psychology 2006 Reducing heavy drinking in college males with the decisional balance: Analyzing an element of Motivational Interviewing Joseph W. LaBrie Loyola Marymount University, [email protected] Eric R. Pedersen Loyola Marymount University Mitch Earleywine University of Southern California Hutson Olsen Loyola Marymount University Follow this and additional works at: https://digitalcommons.lmu.edu/headsup Part of the Psychology Commons Recommended Citation LaBrie, J. W., Pedersen, E. R., Earleywine, M., & Olsen, H. (2006). Reducing heavy drinking in college males with the decisional balance: Analyzing an element of Motivational Interviewing. Addictive Behaviors, 31(2), 254–263. http://doi.org/10.1016/j.addbeh.2005.05.001 This Article - post-print is brought to you for free and open access by the Psychology at Digital Commons @ Loyola Marymount University and Loyola Law School. It has been accepted for inclusion in Heads UP by an authorized administrator of Digital Commons@Loyola Marymount University and Loyola Law School. For more information, please contact [email protected]. NIH Public Access Author Manuscript Addict Behav. Author manuscript; available in PMC 2014 October 31. NIH-PA Author ManuscriptPublished NIH-PA Author Manuscript in final edited NIH-PA Author Manuscript form as: Addict Behav. 2006 February ; 31(2): 254–263. doi:10.1016/j.addbeh.2005.05.001. Reducing heavy drinking in college males with the decisional balance: Analyzing an element of Motivational Interviewing Joseph W. LaBriea,*, Eric R. Pedersena, Mitch Earleywineb, and Hutson Olsena aDepartment of Psychology, Loyola Marymount University, 1 LMU Drive, Los Angeles, CA 90045, United States bUniversity of Southern California, United States Abstract The decisional balance, a brief detailing of the advantages and disadvantages of behavior change, serves as a key component to interventions in Motivational Interviewing. The impact of this component alone is not well understood. Forty-seven men completed a Timeline Followback interview assessing alcohol consumption and unsafe sexual practices. They then completed a decisional balance, listing the Pros and Cons of decreasing their drinking, but not one for safer sex. One-month follow-up data showed that they had statistically significant and clinically meaningful increases in their motivation to alter drinking and decreases in the number of drinks that they intended to drink, the actual drinks consumed per month, the days per month that they drank, their maximum number of drinks consumed on one occasion, and their average number of drinks per occasion. They did not alter their sexual behavior or their motivation to increase safe sex behavior. These results suggest that the decisional balance plays an important role in Motivational Interviewing and could serve as a quick and efficient intervention by itself. Keywords Motivational Interviewing; Alcohol use; Decisional balance; College students At least forty percent of college students drink heavily (O’Malley & Johnston, 2002) and experience negative alcohol-related consequences (Wechsler & Nelson, 2001). Students who drink heavily report alcohol impairs their academic and personal lives, leading to disruption of their sleep and studies as well as property damage and verbal, physical, or sexual violence (Engs, Diebold, & Hanson, 1996; Wechsler, Davenport, Dowdall, Moeykens, & Castillo, 1994; Wechsler, Lee, & Kuo, 2000; Wechsler, Moeykens, Davenport, Castillo, & Hansen, 1995). Universities attempt to reduce the prevalence of drinking and alcohol-related problems by implementing alcohol-free campuses, dorms, or events; requiring student attendance of alcohol education classes; and providing counseling to students with potential substance abuse problems (Wechsler, Seibring, Liu, & Ahl, 2004). Recently, interventions aimed at © 2005 Elsevier Ltd. All rights reserved. *Corresponding author. Tel.: +1 310 338 5238; fax: +1 801 469 3189. [email protected] (J.W. LaBrie). LaBrie et al. Page 2 targeting misperceptions of campus drinking norms, such as social norms marketing campaigns (Far & Miller, 2003; Perkins & Craig, 2002), as well as interventions that NIH-PA Author Manuscript NIH-PA Author Manuscriptchallenge NIH-PA Author Manuscript alcohol expectancies (Darkes & Goldman, 1993, 1998, Dunn, Lau, & Cruz, 2000), have shown promise in decreasing problematic drinking. Similarly, interventions combining both the style and techniques of Motivational Interviewing (Miller & Rollnick, 2002) reduced drinking in identified problem drinkers (Baer, Kivlahan, Blume, McKnight, & Marlatt, 2001; Baer, Marlatt, Kivlahan, Fromme, & Larimer, 1992; Borsari & Carey, 2000; Marlatt, Baer, Kivlahan, Dimeff, Larimer, Quigley, et al., 1998). Motivational Interviewing (MI) is a non-judgmental, client-centered style of counseling founded on the basic principles of expressing empathy, developing discrepancy, rolling with resistance, and supporting efficacy. Interventions designed to help motivate students to change problematic drinking behavior often follow these principles. Helping students develop discrepancies between their behavior and their goals, motivating them to reduce problematic drinking, and helping them prevent relapse into problematic drinking behavior are the essential strategies underlying MI-based interventions with college students. Motivating individuals to change problematic behavior stems from the transtheoretical model of behavior change (Prochaska & DiClemente, 1986), which posits stages of change. These include pre-contemplation, contemplation, preparation, action, and maintenance. Each successive stage represents increased motivation for continued behavior change. Those in the action stage are ready and willing to change. Since many participants in college interventions will not be ready to initiate change, it is essential to help them reach the action stage during interventions. Motivational Interviewing is especially useful for motivating individuals who may not recognize a problem or may be ambivalent about changing their drinking behavior to make a decision to change (Miller & Rollnick, 2002). One MI strategy designed to build motivation for changing behavior is the decisional balance. The decisional balance, a procedure derived from Janis and Mann’s (1977) decision-making model, assumes that sound decision-making involves careful scanning of all relevant considerations that enter into a decisional “balance sheet” of comparative potential gains and losses. Empirical tests of the decisional balance procedure reveal two factors: “Pros” or benefits of changing the behavior and the “Cons” or costs of changing the behavior (Velicer, DiClemente, Prochaska, & Brandenburg, 1985). The decisional balance is a tool used in MI to help clients explore and resolve their ambivalence about changing. Individuals list their own personal reasons for and against changing their behavior. The decisional balance penetrates a participant’s state of ambivalence, clarifies competing motivational factors, and encourages the person to consider the possibility of change. MI posits that constructing a decisional balance sheet is not merely a passive assessment of current motivation, but that is also likely to influence motivation (Miller & Rollnick, 2002). Often, however, the decisional balance is used as one tool among many in brief MI interventions. Neighbors, Larimer, and Lewis (2004) suggest that one of the methodological problems with existing brief intervention research is that the interventions themselves Addict Behav. Author manuscript; available in PMC 2014 October 31. LaBrie et al. Page 3 involve multiple components, which prohibits the evaluation of unique contributors. Individual components of brief interventions have received little scrutiny despite the obvious NIH-PA Author Manuscript NIH-PA Author Manuscriptpractical NIH-PA Author Manuscript and theoretical reasons for examining them (Zweben & Fleming, 1999). The current study attempts to determine the effectiveness of a unique component, the decisional balance procedure, in motivating and initiating change in drinking behavior among high-risk male college students. While other motivational interventions have been successful in producing reductions in drinking (Baer et al., 2001; Baer et al., 1992; Borsari & Carey, 2000; Marlatt et al., 1998), the current study uses the decisional balance only (in concert with the non-confrontational style of open-ended questions of MI), to increase readiness to change problematic drinking behavior. The study is a within-persons design and it is hypothesized that the decisional balance intervention will significantly increase participants’ motivation to change drinking behavior, while not affecting motivation to change another assessed health behavior—risky sex. By assessing two problem behaviors but performing a decisional balance on only one, we can test if any alterations in the behaviors stemmed simply from assessment rather than the decisional balance. If this brief and simple procedure decreases drinking, the decisional balance can be used widely on college campuses. 1. Methods 1.1. Participants Male college students (N =315) responded to flyers seeking research participants for a study on attitudes and behaviors towards drinking and sexual activity. Initial respondents were screened using a phone interview. To obtain at-risk individuals, only those who drank more than twice a week and who had intercourse (vaginal or anal) with two or more heterosexual partners in the previous
Load more

Recommended publications
  • Psychotherapeutenjournal 1/2010 (.Pdf)
    Editorial Liebe Kolleginnen und Kollegen, der erste Beitrag dieses Heftes hat unmit- vorkommt. Oft schon vor längerer Zeit. Der telbaren Praxisbezug: S. Behrendt und J. Artikel führt Beispiele aus körperpsycho- Hoyer möchten die Optionen zur ambu- therapeutischen, humanistischen und psy- lanten Behandlung von PatientInnen mit choanalytischen Verfahren an. Es lassen einem Substanzmissbrauch erweitern und sich m. E. Ähnlichkeiten ausmachen, aber beschreiben Möglichkeiten und Grenzen. auch erhebliche Unterschiede. Achtsam- keit in der Verhaltenstherapie ist offenbar Mehrere der weiteren Artikel knüpfen an etwas anderes als etwa die „freischwe- die bereits im letzten Heft des PTJ aufge- bende Aufmerksamkeit“ im psychoanalyti- nommene Diskussion um die Bindung an schen Verständnis. Aus meiner Sicht führt ein Verfahren und um die Frage, ob und dies für die PsychotherapeutIn notwendig wie Konzepte über Verfahren hin über- zu einer Überlegung: Wie steht und passt tragbar sind, an. Die GutachterInnen des dieses Konzept zu meinem (bisherigen) Forschungsgutachtens haben, den Befra- behandlungstechnischen Konzept und zu gungsergebnissen folgend, im Wesentli- einem oder „meinem“ Verfahren und wel- chen die Beibehaltung einer verfahrens- che Konsequenzen bringt das mit sich? bezogenen Ausbildung empfohlen. Sie Weiss und Harrer verweisen auch darauf, lungen sich für die Zukunft daraus ablei- schlagen aber auch Modifikationen der dass die „radikalen Wurzeln“ des Konzepts ten lassen. Ausbildung vor. Damit tragen sie dem Be- der Achtsamkeit, „viele paradigmatische
    [Show full text]
  • Applying the Transtheoretical Model of Change to Court-Ordered/DUI Outpatient Treatment Clients" (1997)
    W&M ScholarWorks Dissertations, Theses, and Masters Projects Theses, Dissertations, & Master Projects 1997 Applying the transtheoretical model of change to court-ordered/ DUI outpatient treatment clients Cynthia Munch Levy College of William & Mary - School of Education Follow this and additional works at: https://scholarworks.wm.edu/etd Part of the Clinical Psychology Commons, Criminology Commons, and the Student Counseling and Personnel Services Commons Recommended Citation Levy, Cynthia Munch, "Applying the transtheoretical model of change to court-ordered/DUI outpatient treatment clients" (1997). Dissertations, Theses, and Masters Projects. Paper 1539618478. https://dx.doi.org/doi:10.25774/w4-p1ce-hh13 This Dissertation is brought to you for free and open access by the Theses, Dissertations, & Master Projects at W&M ScholarWorks. It has been accepted for inclusion in Dissertations, Theses, and Masters Projects by an authorized administrator of W&M ScholarWorks. For more information, please contact [email protected]. INFORMATION TO USERS This manuscript has been reproduced from the microfilm master. UMI films the text directly from the original or copy submitted. Thus, some thesis and dissertation copies are in typewriter face, while others may be from any type of computer printer. The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion.
    [Show full text]
  • I DECISIONAL BALANCE: THEORY, HISTORY, RESEARCH, AND
    DECISIONAL BALANCE: THEORY, HISTORY, RESEARCH, AND DIRECTIONS FOR ALCOHOL RESEARCH _______________ A Dissertation Presented to The Faculty of the Department of Psychology University of Houston _______________ In Partial Fulfillment Of the Requirements for the Degree of Doctor of Philosophy _______________ By Dawn W. Foster May, 2013 i DECISIONAL BALANCE: THEORY, HISTORY, RESEARCH, AND DIRECTIONS FOR ALCOHOL RESEARCH _________________________ Dawn W. Foster, M.A., M.P.H. APPROVED: _________________________ Clayton Neighbors, Ph.D. Committee Chair _________________________ Qian Lu, Ph.D. _________________________ Julia Babcock, Ph.D. _________________________ Scott Walters, Ph.D. _________________________ John W. Roberts, Ph.D. Dean, College of Liberal Arts and Social Sciences Department of English ii DECISIONAL BALANCE: THEORY, HISTORY, RESEARCH, AND DIRECTIONS FOR ALCOHOL RESEARCH _______________ An Abstract of a Dissertation Presented to The Faculty of the Department of Psychology University of Houston _______________ In Partial Fulfillment Of the Requirements for the Degree of Doctor of Philosophy _______________ By Dawn W. Foster May, 2013 iii ABSTRACT This study seeks to replicate and extend decisional balance (DB) research by implementing a DB intervention among heavy drinking undergraduates, and comparing the traditional non-weighted DB proportion (DBP; Collins, Carey, & Otto, 2009) to a DBP that is weighted based on the relative importance of items. We expected that consistent with previous findings, the intervention would result in decreased drinking compared to control. We further expect that the weighted DBP would be a better predictor of reduced drinking compared to the non-weighted DBP or control. Additionally, we expect that intervention efficacy would be moderated by initial DBP. One hundred and eighty heavy drinking undergraduates (Mean age = 24.37, SD = 6.81, 27% male) completed study materials including measures of alcohol consumption and DB at baseline (pre- and post-intervention) and again during a one month follow-up assessment.
    [Show full text]
  • Addictions Class Resource List William F
    William F. Doverspike, PhD, ABPP 1 Addictions Course Resources Addictions Class Resource List William F. Doverspike, PhD Bibliography Updated August 15, 2021 These reference entries include sources that may be cited in class. The purpose of this bibliography is to assist students in finding a source of information if the citation is not contained in the lecture notes or presentation decks. These sources vary widely in terms of their degree of scholarly value, ranging from publications in peer-reviewed scientific and professional journals to internet blog posts describing the personal experiences of individual authors. As a general rule when writing papers, students should cite only scholarly sources and peer-reviewed research. These reference entries include sources that may be cited in class. The purpose of this bibliography is to assist students in finding a source of information if the citation is not contained in the lecture notes or presentation decks. These sources vary widely in terms of their degree of scholarly value, ranging from publications in peer-reviewed scientific and professional journals to internet blog posts describing the personal experiences of individual authors. As a general rule when writing papers, students should cite only scholarly sources and peer-reviewed research. Some reference list entries are written in APA (2010) Publication Manual (6th ed.) style, which provides more detail for print publications (e.g., such as location of publisher), whereas other reference list entries are written in APA (2020) Publication Manual (7th ed.) style, which provides more detail for digital sources (e.g., such as name of website). Sometimes the distinction between online periodical types is ambiguous (e.g., blog hosted by a newsletter).
    [Show full text]
  • Kwame Nkrumah University of Science and Technology
    KWAME NKRUMAH UNIVERSITY OF SCIENCE AND TECHNOLOGY, KUMASI, GHANA Decision-Making Practices of construction firms in Accra Ghana By Daniel Aikins (BSc. Construction Technology and Management) A thesis submitted to the Department of Construction Technology and Management, College of Art and Built Environment, In partial fulfillment of the requirement for the degree of MASTER OF SCIENCE NOVEMBER, 2018 DECLARATION I hereby declare that this submission is my own work and that, to the best of my knowledge and belief, it contain no material previous published or written by another person nor material previous published or written by another person nor material which to a substantial extent has been accepted for the award of any other degree or diploma at Kwame Nkrumah University of science and Technology, Kumasi or any other educational institution, except where due acknowledgment is made in the thesis. Student: Daniel Aikins (PG9189317) Signature:……………………………………………………… Date:…………………………………………………………… Supervisor: Dr. Michael Addy Signature:……………………………………………………… Date:…………………………………………………………… Head of Department: Professor Bernard K.Baiden Signature:……………………………………………………... Date:………………………………………………………….. ii ABSTRACT Decision-making is critical in any industry and the construction industry is not exempt from this, since the construction process requires many decisions to be made. In terms of strategic decision as well, these companies need to make them so that they can remain competitive in the industry. Therefore, this study was to determine the decision-making practices of construction firms in Ghana, and the objectives included identifying the decisions making practices and the factors, which influenced these decision-making practices. Identifying these would help in proffering recommendations for the best practices in decision-making. Previous works were reviewed to help establish gaps in the area of decision-making.
    [Show full text]
  • Motivational-Interviewing.Pdf
    MOTIVATIONAL INTERVIEWING This page intentionally left blank Motivational Interviewing SECOND EDITION Preparing People for Change WILLIAM R. MILLER STEPHEN ROLLNICK THE GUILFORD PRESS New York London 2002 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 987654321 Library of Congress Cataloging-in-Publication Data Miller, William R. Motivational interviewing : preparing people for change / by William R. Miller, Stephen Rollnick.-2nd ed. p. cm. Includes bibliographical references and index. ISBN 1-57230-563-0 (hardcover) 1. Compulsive behavior-Treatment. 2. Substance abuse- Treatment. 3. Substance abuse-Patients-Counseling of. 4. Compulsive behavior-Patients-Counseling of. 5. Motivation (Psychology) 6. Interviewing in psychiatry I. Rollnick, Stephen, 1952– . RC533 .M56 2002 618.85′84-dc21 2001051250 To our parents, Hazel and Ralph Miller and Sonia and Julian Rollnick May we succeed in passing on such love to the next generation About the Authors William R. Miller, PhD, is Distinguished Professor of Psychology and Psychia- try at the University of New Mexico and Codirector of UNM’s Center on Al- coholism, Substance Abuse, and Addictions. Dr. Miller’s publications encom- pass more than 300 articles and chapters, as well as 27 books, including, most recently, Quantum Change: When Epiphanies and Sudden Insights Transform Ordinary Lives (with Janet C’de Baca; Guilford Press, 2001).
    [Show full text]
  • Motivational Interviewing Newsletter for Trainers
    Motivational Interviewing Newsletter for Trainers January 1, 1996, Volume 3, Issue 1 The workshop was conducted in English. Some of the Italian participants were truly impressive, looking up hundreds of words in their dictionaries. Our host, the Italian psychiatrist Gian Paolo Guelfi, whose English is near perfect, admitted that he had spent most of the first day wondering why we so often talked about the Chinese, until he realized that we were saying “trainees”! He also told us that in Italy it is widely recognized that English is an impossible language - “they pronounce it as Manchester and spell it as Liverpool”. Thank you to Gian Paolo for your endless kindness and hospitality, and to Delilah Yao from Albuquerque for all your support with administration. New Perspectives THE 21 CENTURY & REID HESTER They go together in my brain. Reid attended the 1st MINT training and offered to help us communicate through the Internet. I decided that he was a wildly eccentric computer freak (which he is), and wished that he would go away and dig for gold (which, apparently, he still does). As the millennium draws near I think about this more and more. Reid is right. It would be ideal for a group like ourselves, if only we would listen to Reid. I am willing, able, and ready, if Reid has not given up on me. TWO NEW PAPERS From Across the Pond Mann, R. & Rollnick, S. (in press) Motivational interviewing with a sex offender who believed he was Stephen Rollnick innocent. Behavioral & Cognitive Psychotherapy. REFLECTIONS ON MINT III. Butler, C., Rollnick, S.
    [Show full text]
  • Decisional Balance Worksheet Cbt
    Decisional Balance Worksheet Cbt uvulitisIs Karl masturbatoryand pitapatting when his MarleyBartolomeo so irascibly! cork goddam? Is Cosmo near when Sheffie spaces impartibly? Gradualistic Ronald deave some Whether a valid email address or question you intend to balance worksheet therapy techniques and abilities we know this message to develop a discussion of good decisions You are already collected some other unknowns related with decisional balance worksheet cbt case managers find and! General practitioners to reconfigure the initial step towards designing and! Returned to do when clients and try to add more than ourselves rule about it did that that approximated the decisional balance worksheet cbt works of the filter is not return with someone and! The post the second edition ebooks, actions that well, researchers named and decisional balance worksheet therapy dbt skills depending on facts. International Journal of Electronics and Communications. Passive filters are in recent functional brain has the decisional balance worksheet cbt also be in your browser sent to see several photos to make it is proud to? Cep in cbt worksheets decisional balance worksheet cbt. And decisional balance worksheet cbt. Espero ir mais vezes com certeza que será fantástico. Naturally lead to donate to think affects what can you can predict drinking as similar photos to sandra eck, decisional balance worksheet cbt can ask most depend on! Treatment plan and a cbt to worry about using the unhealthy ways, programming and decisional balance worksheet cbt alone. One thing later in recovery need best new activities! What changes are you considering making? Here and decisional balance sheet records are just a cbt online module evaluation form rc filters are generated by measuring the.
    [Show full text]
  • Cultural Adaptation of a Shared Decision-Making Intervention to Address the Needs of First Nations, Métis and Inuit Women
    Cultural Adaptation of a Shared Decision-Making Intervention to Address the Needs of First Nations, Métis and Inuit Women Janet Elizabeth Guthrie Jull OT, MSc(OT), PhD(c) Thesis submitted to the Faculty of Graduate and Postdoctoral Studies in partial fulfillment of the requirements for the PhD degree in Population Health Faculty of Graduate and Postdoctoral Studies University of Ottawa © Janet Jull, Ottawa, Canada, 2014 Abstract Background Little is known about shared decision-making (SDM) interventions with Aboriginal Peoples. Purpose To explore Aboriginal women’s SDM needs and engage Aboriginal women in culturally adapting an SDM approach. Methods Three studies were guided by an advisory group, ethical framework and a postcolonial theoretical lens. 1. A systematic review of the literature to identify health decision-making interventions to support Indigenous Peoples. 2. An interpretive descriptive qualitative study using individual interviews with Aboriginal women to explore decision-making needs. 3. An interpretive descriptive qualitative study to culturally adapt and usability test the Ottawa Personal Decision Guide (OPDG) to support decision making by Aboriginal women. Results 1. The only eligible intervention study was a randomized control trial conducted in the United States with 44 Indigenous students. Compared to baseline, post-intervention the students demonstrated increased knowledge and use of a four-step decision-making process. 2. Interviews with 13 Aboriginal women supported SDM. Shared decision-making needs were represented by four major themes and presented in a Medicine Wheel framework: To be an active participant; To feel safe with care; Engagement in the decision process; Personal beliefs and community values. Supports for each of the major themes focused on the relational nature of shared decision-making.
    [Show full text]
  • Logistics of Providing Behavioral Health Services for OUD
    Implementing Technology and Medication Assisted Treatment and Team Training in Rural Colorado Behavioral Health Provider Training Module 5: Working with Patients Receiving Treatment with Buprenorphine Copyright 2018 Regents of the University of Colorado. All Rights Reserved. For permission to use content for purposes other than IT MATTTRs Practice Team Training, please contact [email protected]. What is success? • Sobriety? Functioning? • Harm reduction • Reduction in use of opioids • Discontinuation of IV drug use • Maintenance on buprenorphine despite use of other drugs For many providers, treating patients on MAT means reframing what success is. Phases of Buprenorphine Treatment for OUD Phase Description Role of BH Induction Find the right dose of buprenorphine: 1) no Help patient prepare for opioid withdrawal symptoms, 2) induction: 1) develop plan to discontinuation or marked reduction of use of ensure appropriate withdrawal at other opioids, 3) reduction in cravings, 4) time of induction, 2) provide minimal/no side effects, 5) ability to return to coping skills usual activities Stabilization Patient may need daily contact for several days Provide ongoing support and depending on response. Dose may continue to revisit relapse prevention plan be adjusted. Maintenance Withdrawal symptoms resolved, cravings Assist in addressing factors that improved, side effects managed, able to deal contribute to OUD (e.g., with factors that contributed to OUD. Monthly depression, PTSD) visits typical for stable patients. Why motivation enhancement? It works! Motivation-enhancing approaches are associated with positive treatment outcomes! Benefits include: • Inspiring motivation to change • Preparing patients to enter treatment • Engaging and retaining patients in treatment • Increasing participation and involvement • Improving treatment outcomes • Encouraging rapid return to treatment if symptoms recur Transtheoretical Model of Change Five Stages of Change Stage Motivational Conflict I don’t see how my heroin use is concerning.
    [Show full text]
  • TIP 35 Update 2019
    TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment October 2019 Chapter 5—From Contemplation to Preparation: Increasing Commitment Chapter 5—From Contemplation to Preparation: Increasing Commitment “The reasons for change need to be important and substantive enough to move the individual into deciding to make the effort to change. The task for individuals in Contemplation is to resolve their decisional balance consideration in favor of change. The decision to change marks the transition out of the Contemplation stage and into Preparation.” DiClemente, 2018, p. 29 Key Messages • Clients in Contemplation begin to recognize concerns about substance use but are ambivalent about change. • You can use motivational counseling strategies to help clients resolve ambivalence about change. • When using a decisional balance (DB) strategy, you briefly reflect clients’ reasons for continuing substance use (i.e., sustain talk) but emphasize clients’ reasons for change (i.e., change talk). • Motivational counseling strategies to enhance commitment to change move clients closer to the Preparation stage and taking steps to change. Chapter 5 describes strategies to increase clients’ commitment to change by normalizing and resolving ambivalence about change and enhancing clients’ decision-making capabilities. Central to most strategies is the process of evoking and exploring reasons to change through asking open question and reflective listening. The chapter begins with a discussion of ambivalence, extrinsic (external) and intrinsic (internal) motivation, and ways to help clients connect with internal motivators to enhance decision making and their commitment to change. It then focuses on DB strategies—ways to explore the costs and benefits of change and clients’ values about changing substance use behaviors.
    [Show full text]
  • Claudio R. Nigg
    Publications Claudio Renato Nigg, Ph.D. As of 30.01.2020 Refereed Publications: 1. Jekauc, D., Mnich, C., Niessner, C., Wunsch, K., Nigg, C. R., Krell-Roesch, J. & Woll, A. (in press). Testing the Weiss-Harter-Model: Physical Activity, Self-Esteem, Enjoyment, and Social Support in Children and Adolescents. Frontiers in Psychology: Movement Science and Sport Psychology. 2. Nigg, C. R., Harmon, B., Jiang, Y., Martin Ginis, K. A., Motl, R. W. & Dishman, R. K. (in press). Temporal Sequencing of Physical Activity Change Constructs within the Transtheoretical Model. Psychology of Sport & Exercise. 3. Nigg, C. R., Phu, T., & Mnich, C. (2020). Strategies TO Prevent (STOP) Substance Use: A Website for Adolescents in Hawaii. Journal of Substance Use, 25, 88-94. doi: 10.1080/14659891.2019.1664659. 4. Mnich, C., Bachert, P., Kunkel, J., Wäsche, H., Neumann, R., & Nigg, C. R. (2019): Stand up, Students! Decisional Cues reduce Sedentary Behavior in University Students. Frontiers in Public Health, 7, 230. doi: 10.3389/fpubh.2019.00230. 5. Butel, J., Braun, K., Nigg, C., Davis, J., Boushey, C., Leon-Guerrero, R., Bersamin, A., Coleman, P., Fleming, T., & Novotny, R. (2019). Implementation Strategies and Barriers to Native Hawaiian and Other Pacific Islanders Community Interventions: A Cross-Case Study of the Children’s Healthy Living Program. Asian American Journal of Psychology, 10, 282– 291. 6. Butel, J., Braun, K., Davis, J., Nigg, C., Leon-Guerrero, R., Bersamin, A., Fleming, T., Coleman, P., & Novotny, R. (2019). Estimating Collectives Efficacy Intervention Dose of the Multilevel Multisite Children’s Healthy Living Program Intervention. Translational Behavioral Medicine, XX, 1–9.
    [Show full text]